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ACKNOWLEDGMENT RECEIPT

KNOW ALL MEN BY THESE PRESENTS:

THAT, We, the heirs of the late EDISON FRANCISCO, residents of Brgy.
Agdahon, Cuartero Capiz, hereby ACKNOWLEDGE THE RECEIPT of the
amount of FIFTY THOUSAND PESOS (PHP 50,000.00) from MERCEDES
FUENTES as PARTIAL PAYMENT for the mortgage executed by our late
father EDISON FRANCISCO in favor of AGAPE FUENTES of a parcel of land
situated in Brgy. Agdahon, Cuartero Capiz.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this


_______________ in ____________________, Philippines.

___________________________ ___________________________
I.D. No. __________________ I.D. No. __________________

___________________________ ___________________________
I.D. No. __________________ I.D. No. __________________

___________________________
I.D. No. __________________

In conformity:

MERCEDES FUENTES
I.D. No. ______________

Signed in the presence of:

___________________________ & ___________________________

SUBSCRIBED AND SWORN TO before me this _______________ at


____________________________, affiants having exhibited to me their
competent proof of identity as shown below their names bearing their signatures.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2023.

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